JONATHAN SALAS SAGUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121547

License Status

NOT RENEWED

Business

Title

First Name

JONATHAN

Middle

SALAS

Last Name

SAGUM

Business Name

JONATHAN SALAS SAGUM MD

Original Issue Date

07/24/2008

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017